Use of antiviral therapy in patients with chronic hepatitis C

Natalia Dragomiretskaya 1 , Anna Izha 1 , Nikolay Kalinichenko 1 , Mirosława Szark-Eckardt 2 , Mariusz Klimczyk 2 , Mirosława Cieślicka 2 , Radosław Muszkieta 2 , Krzysztof Prusik 2 , Marek Napierała 2 , Hanna Żukowska 2 , and Walery Zukow 3
  • 1 Ukrainian scientific research institute of medical rehabilitation and curortology Ministry of Health Ukraine, Odessa, Ukraine
  • 2 Faculty of Physical Culture, Health and Tourism, Kazimierz Wielki University, Bydgoszcz, Poland
  • 3 Faculty of Physical Culture, Health and Tourism, Kazimierz Wielki University, ul. Ogińskiego 16, 85-092 Bydgoszcz, Poland

Abstract

Introduction: The presence of background HCV infection cannot be overestimated in view of the prevalence of chronic hepatitis C and the risk of adverse outcomes of this disease. Purpose of this study was to evaluate the effectiveness of the combined use of antiviral therapy (Roferon + Vero-Ribavirin) and resort factors in patients with chronic hepatitis C in the phase of replication. Material and methods: We observed 48 patients with chronic hepatitis C; the minimum level of activity of the process defined the phase of replication. Markers of HCV infection were determined by enzyme linked immunosorbent assay (ELISA) (a-HCV and HCV-Ig M). HCV RNA was determined twice by the polymerase chain reaction (PCR). Genotyping of hepatitis C virus was performed. Biochemical blood analysis and the study of HCV infection markers were carried out four times. Results of therapy were assessed immediately after the end of the resort (spa) treatment, then at 3, 6 and 12 months after starting treatment. At 12 months after starting treatment, all the observed patients had persistent clinical and biochemical remission. Elimination of the virus from the blood was noted in 56% of the control group and 74% of patients in the study group. Conclusions: For patients with moderately active HCV, the replication phase was characterized by asthenic-vegetative syndrome (100% of patients) with severe depression (22.92%), pain (77.08%) and dyspeptic syndrome (33.33%), moderate hypertransferaseemia (100%), slightly pronounced cholestasis (33% of patients), and signs of mesenchymal- inflammatory response.

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